Dubois Regional Medical Group, Pc

LBN: Dubois Regional Medical Group, Pc
Dubois Regional Medical Group, Pc is an health care organization with primary practice located at 135 Midway Drive Suite B, Du Bois PA 15801-3857. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Dubois Regional Medical Group, Pc can be contacted via phone (814) 371-1771, or through Sutika, John S via phone (814) 375-3385.

Contact Information

Primary practice address
135 Midway Drive Suite B Du Bois PA 15801-3857
Phone: (814) 371-1771
Fax: (814) 371-4417
Website:
Map and Directions
Authorized official contact:
Name: Sutika, John S CPA
Phone: (814) 375-3385

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1760786834
LBN Legal business name Dubois Regional Medical Group, Pc
DBA Doing business as
Authorized official Sutika, John S CPA
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2011
Last updated Mar 23rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760786834 NPPES
Pennsylvania MEDICAID 100751931-0013
Pennsylvania Other 002564699

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